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Mrs. Pamela Yvetta Smith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orlando, Florida
NPI 1306449707

Pamela Yvetta Smith is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Orlando, FL. Pamela Yvetta Smith practices in Orlando, FL. The NPI Number for Pamela Yvetta Smith is 1306449707 and holds a License No. (Florida).

The current practice location address for Pamela Yvetta Smith is 4214 Cypress Glades Ln, Orlando, FL and can be reached out via phone at 407-312-4779.

Location: 4214 Cypress Glades Ln, Orlando, FL, 32824-7417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306449707
Provider Name
Pamela Yvetta Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
4214 Cypress Glades Ln, Orlando, FL, 32824-7417
Phone Number
407-312-4779
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103749600 05 FL
institution
Provider Business Practice Location Address Details
Address
4214 Cypress Glades Ln
City
Orlando
State
Florida
Zip
32824-7417
Phone Number
407-312-4779
Fax Number
person
Provider Business Mailing Address Details
Address
4214 Cypress Glades Ln
City
Orlando
State
Florida
Zip
32824-7417
Phone Number
407-312-4779
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
(Florida)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
(Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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